A Ca ++-ionophore, ionomycin, increased the volume of human platelets suspended in a Ca ++-containing buffer. This change in cell volume was dependent upon ionomycin and extracellular Ca ++ concentrations, suggesting that the volume change occurs when the intracellular Ca ++ reaches a certain level (>10 uM as determined by aequorin method). The ionomycin-induced volume increase was suppressed by replacement of extracellular Na + with membrane-impermeable N-methyl-D-glucamine or Cs +, but not with Li +, K +, or Rb +. Ethylisopropylamiloride, a potent inhibitor of the Na + H + exchanger, had only weak inhibitory effect, and the apparent Km for Na + was approximately 350 mM, which is much larger than that of the Na + H + exchanger. It is suggested that certain mechanisms other than the Na + H + exchanger are responsible for ionomycin-induced volume increase.
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